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Under indirect supervision, at the point of service provides financial counseling to patients in a personal interview to create a payer source for Inpatient & Outpatient self-pay accounts. Identifies potential third party liability, Workers Compensation, Commercial, COB, Medicare & Medi-Cal. Provides functional direction to Business Service Representatives & Receptionists. Determines & approves Medical Financial Assistance & payment arrangements.Essential Functions:
Upholds KP's Policies & Procedures, Principles of Responsibilities & applicable state, federal & local laws
Confidentially obtains or reviews & records patient financial & demographic information
Coordinates w/ inpatient/outpatient admission & registration for identification of potential alternate payor sources
Interviews patients to determine financial status, counsels & makes arrangements for direct payment, potential enrollment in a government sponsored program or direct billing to the patient
Completes Medical Financial Assistance applications based on analysis of patient financial information
Provides functional guidance to the support staff & informs support staff & physicians on new & revised processes
Acts as a patient/member advocate & uses knowledge of external & internal Social Services agencies for patient referral
Retrospectively reviews diagnosis & treatment records to identify potential Third Party Liability & Workers Compensation cases
Screens for potential eligibility for KP Membership through government programs (Medi-Cal, Medicare, transition plan, etc)
Obtains pre-authorizations for services from employers & other insurance carriers
Coordinates & collects conversion dues for KP coverage
Checks patient information against updated eligibility using on-line systems (Foundations)
Places telephone call to the appropriate departments (CSC, Sales & Marketing, etc) in cases where group eligibility is not updated
Ensures that all documentation in the billable jackets is complete & obtains missing or needed information
Establishes & maintains courteous, cooperative relations w/ the public, patients & other personnel
Performs other related duties as required
Pay Grade: 14Basic Qualifications:
Minimum of three (3) years of relevant experience in health care billing, collections or financial counseling or equivalent
High School Diploma/GED
Certificate of completion of a course in Medical Terminology
Typing 35 WPM or as required by Medical Center. Typing must be current within one (1) year. Please contact Human Resources for testing.
Demonstrated ability in patient registration, admissions & billing practice required
Ability to demonstrate knowledge of & to utilize Government Programs & alternate payor sources (Workers Compensation, TPL, COB, Commercial, etc).
Notes:
This is an on-call position; days and hours may vary according to department needs.
Position will be required to work in all areas of the Admitting Department.
On-call position Must we available weekends and nights
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.COMPANY: KAISERTITLE: Financial CounselorLOCATION: Downey, CaliforniaREQNUMBER: 842532External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
Vacancy expired!